Purpose
The purpose of our study was to examine the result of lateral epicondylitis surgery
with and without posterior interosseous nerve release.
Methods
We conducted a prospective, randomized, double-blind single-center clinical trial
in 54 patients treated surgically for lateral epicondylitis, without any EMG or imaging
sign of compression of the posterior interosseous nerve at the arcade of Frohse. The
patients were equally divided into intervention (supplemental radial nerve release)
and control groups (no radial nerve release). Clinical symptoms and disability related
to the upper extremity were assessed by a blinded assessor prior to surgery, using
both the Quick Disabilities of the Arm, Shoulder, and hand (QuickDASH) and Mayo Elbow Performance Score (MEPS) and again at 1-, 3-, and 6-month intervals
after surgery.
Results
Significant improvement was observed in both groups from the first month after surgery
and for the whole evaluation period for both the MEPS and the QuickDASH scores.
Conclusions
Radial nerve release, in association with surgical treatment for lateral epicondylitis,
was not associated with greater improvement.
Type of study/level of evidence
Therapeutic I.
Key words
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Article Info
Publication History
Published online: July 26, 2018
Accepted:
May 29,
2018
Received:
June 2,
2017
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2018 by the American Society for Surgery of the Hand. All rights reserved.
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